UTIVYA JACKSON, RN
Registered Nurse - General Practice
Active
Individual
NPI: 1013699453
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse - General Practice | 163WG0000X | Yes | 4704267252 (MI) |
Frequently Asked Questions
NPI 1013699453 is the National Provider Identifier for UTIVYA JACKSON, RN, a Registered Nurse - General Practice provider located in Detroit, MI. This NPI was enumerated on August 4, 2023.
UTIVYA JACKSON, RN practices at 4646 JOHN R ST, Detroit, MI 48201.
Quick Facts
- NPI
- 1013699453
- Type
- Individual
- Enumerated
- Aug 4, 2023
- Last Updated
- Aug 4, 2023
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